Download SCHILLER`s medilog® Holter system

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SCHILLER’s medilog® Holter system
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Sophisticated and precise ECG analysis
that meets the highest demands.
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medilog®
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Philosophy
Much more than arrhythmia
­screening
SCHILLER’s medilog® Holter system provides a comprehensive analysis of the human being as a whole.
Atrial fibrillation detection, sleep apnoea screening and
the determination of the quality of life are just some of
the exceptional features of medilog®.
Designed with feedback from hundreds of cardiologists
and cardiac technicians worldwide, medilog® offers unparalleled accuracy and opens up new possibilities for
Holter analysis.
A unique set of sophisticated tools
• P wave detection for accurate atrial fibrillation
­screening
• PureECG™ technology for superior signal quality
• ECHOView™ for instantaneous detection of atrial
fibrillation onset
AV-block patterns and
other critical anomalies
are easily identified.
• Sleep apnoea detection with synchronised ECG,
respiration waveforms and SpO2 readings
• Fire of Life™: a brilliant, new approach to Heart Rate
Variability analysis
FD12 plus
AR12 plus
Channels
3 or 12
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PureECG™
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P wave detection
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Motion detection
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Respiration
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Bluetooth
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SpO2
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Adapting to your needs
Just 3 mouse clicks away from a report
DARWIN2 offers maximum flexibility with freely configurable
­reports, user-defined screen layout and workflows. It is available in three different versions to suit the needs of any
organisation and to grow with it:
DARWIN2 is designed to maximise speed and ease of use.
• DARWIN2 Office: optimised for routine application in
physicians’ offices.
• DARWIN2 Professional: perfect for a small to mid-sized
Holter scanning centre with the need for fast atrial
fibrillation detection.
• DARWIN2 Enterprise: for the most demanding research
centres and high-volume hospitals. Includes atrial fibrillation,
apnoea detection, SpO2 and an option for scanlab
web-service.
The automatic analysis of a 24-hour Holter recording takes less
than 90 seconds, with extremely accurate results.
Data review is faster than ever: it takes only three mouse
clicks to generate a comprehensive report.
99.9 % accuracy with medilog® ADAPT™
The medilog® ADAPT™ algorithm has a 99.9% accuracy in
beat detection.1
All recorded channels are analysed and excessively noisy
episodes are automatically excluded. As a result, the automatic analysis is greatly improved and saves time in the
final report generation.
1 Obtained in comparison with the American Heart Association ­database (AHA; QRS Se: 99.9 %, QRS +P: 99.9 %, VES Se: 98.0 %, VES +P: 97.5 %) and the MIT-BIH arrhythmia database
(MIT; QRS Se: 99.9 %, QRS +P: 99.9 %, VES Se: 96.4 %, VES +P: 93.7 %) according to the ANSI/AAMI standards EC38:1998 and EC57:1998.
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medilog®
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Recorders
Wide range of options
medilog® recorders offer the acquisition of up to 12 leads
and 7 days of uninterrupted 3-channel recording.
• All units feature a robust, shock-proof and splash-proof
innovative design.
• Voice recording allows technicians to easily store
patient information before starting the recording.
• Patients can easily and immediately record their
diary event with comments perfectly synchronised
with the ECG.
• Bluetooth is available on the most sophisticated
models for transmission during recording, allowing
for a quick ECG check-up at any time.
• medilog® high-end recorders introduce new dia­gnostic
possibilities with the unique ability to record SpO2
measure­ments synchronised with ECG waveforms.
AR4 plus
FD5 plus
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PureECG™
­ ureECG™ technology and sets a new standard for high signal quality and
With medilog® Holter recorders, SCHILLER introduces P
lower power consumption.
Noisy episodes due to muscle artefacts
and degrading electrodes are unavoidable during a 24-hour or even longer
recording.
A conventional Holter recorder tends
to amplify noise much more than the
actual signal. To compensate this
­effect, the signal is often heavily filtered,
which results in further distortions
and heavy changes on morphology
(QRS width, shape of P and T wave).
With the new PureECG technology,
medilog® recorders have broken this
vicious cycle. The recorder signal is
remarkably cleared and matches the
original signal, all the while dramatically
reducing power consumption.
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DARWIN2
Atrial Fibrillation
P wave detection and
ECHO View™
With the introduction of PureECG™, SCHILLER has achieved unparalleled signal quality in Holter recordings.
ECHOView displays up to 4 hours of ECG beats in a compact
format.
Click on the ECHOView window and the corresponding ECG
waveforms are displayed to evaluate indications of atrial fibrillation or flutter.
With state-of-the-art amplifiers and filter technology,
medilog® recorders are capable of direct P wave detection. This outstanding result, coupled with the ECHOView™ display, makes it possible to identify in a matter
of seconds the onset and offset of atrial fibrillation and
atrial flutter episodes.
ECHOView™ is a “bird eye” display of the ECG, with
clear representation of the P and T waves in each cycle.
This ­innovative diagnostic tool saves valuable time during ­arrhythmia analysis by showing patterns of irregular
PR and QT intervals of 15,000 beats at a glance.
• No more beat-by-beat or page-by-page review of
Holter recordings.
• Reduce cost and improve patient care with early
detection of atrial fibrillation and atrial flutter.
• Preliminary assessment of the need for invasive diagnosis, therapy or surgery.
• Effective patient monitoring following surgery or
­ab­lation.
AV-block patterns and
other critical anomalies
are easily identified
Why it matters
Atrial Fibrillation (AF) is the most common form of irregular heart
rhythm, estimated to affect up to 2 % of the world’s population.
The likelihood of developing AF increases with age and the
number of people affected is expected to double in the next
20 years. AF is believed to account for one third of all hospital admissions for cardiac rhythm problems, and believed to
cause around 15 % of all strokes. Early detection and treatment
4
could save healthcare systems the enormous cost of treating
patients under emergency conditions, and improve outcomes
for the patients concerned.
medilog ® DARWIN2 now puts a reliable, affordable and non-invasive screening device in the hands of people that can make
that difference.
DARWIN2
Apnoea Screening
Synchronised ECG and respiration
curves
Using the method of ECG-derived respiration, medilog®
DARWIN2 calculates a very accurate apnoea index
thanks to the medilog® recorders’ high sampling rate
and resolution.
The synchronised display of ECG waveforms, heart
rate trends and respiration curves provides a valuable
tool for thorough analysis of the correlation between
arrhyth­mias and apnoea episodes.
Are arrhythmias caused by apnoea episodes?
With the addition of simultaneous SpO2 measurements,
medilog® DARWIN2 features the most comprehensive
and effective approach to sleep apnoea screening
with Holter analysis.
Synchronized ECG and respiration curves provide all the
information at a glance.
1
Bird‘s eye view of respiration
curves, to instantaneously
detect apnoea episodes
2
Heart rate trend
3
Respiration curve
4
ECG
1
2
3
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Apnoea pre-screening at home: reducing costs through p
­ revention
In around 30 % of all patients that undergo polysomnography,
no apnoea is detected. However, these patients often suffer
from cardiological diseases. And yet it is not uncommon for
cardiological diseases to occur in combination with apnoea.
Apnoeas are often chronic and, if left untreated, can lead to
enormous financial burdens for the healthcare system due to
high follow-up costs.
DARWIN2 Enterprise offers you a fast, reliable and inexpensive
screening tool to exclude apnoea in your patients.
• Early detection of sleep apnoea episodes.
• Low-cost, comfortable tool for tests at home.
• Therapy assessment.
• Review of sleep quality and evaluation of quality of life.
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DARWIN2
Fire of Life™
NORMAL REGULATION – and recovery during the night
A brilliant, intuitive, new approach
to HRV analysis
Time- and frequency-domain Heart Rate Variability
­results are often difficult to interpret and traditionally
require time-consuming review.
Fire of Life™ is a very intuitive visual presentation of
frequency-domain HRV that makes the assessment of
24-hour results fast and simple.
Repeatable patterns of high- and low-frequency activity
during day and night can be easily identified, providing
information on sleep quality and level of stress.
Example 1: Swim trainer, woman, 23y, very good sleep quality,
rhythmic sleep structure, very good capability for regeneration.
REDUCED REGULATION – overloaded, only little recovery at night
It can be used very effectively in the occupational
health sector to control the stress burden and sleep
quality and also in sports medicine to check the recovery process.
Example 2: 40-year-old manager, overloaded, stress-induced
reduction of parasympathetic activation at night.
Feedback from customers
The Fire of Life picture serves as a visual basis to discuss therapy
and life style changes with patients.
BURN-OUT SYNDROME – heavily overloaded, incapable of working
There are no numbers and tables, patients are able to see
changes on their own, resulting in increased compliance.
Example 3: Mother, 45 years old, high mental load due to her family
structure, almost complete collapse of the regulatory abilities.
The night is hardly different from the day and shows no regenerative
processes.
Reliable results
Many Holter systems offer HRV analysis. Only a few have the
precision required for reliable results.
For research purposes, all data can be exported in Matlab,
MS Excel or ISHNE format.
With state-of-the-art technology, high sampling rate and
resolution, medilog® Holter recorders provide an extremely
accurate R peak detection, which is the basis of reliable HRV
analysis.
DARWIN2 provides the best beat-to-beat analysis that a noninvasive measuring method can offer.
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DARWIN2
Personalise your reports
Liberty™
• Brand your DARWIN reports with your own logo.
• Add or remove arrhythmia strips.
• Add different trend views or diagrams for a specific
recording.
Upload your ­recordings in the Cloud
• If a patient shows very specific QT duration changes over
time, why not to add this trend to your final report?
DARWIN2 Liberty™ has been designed to overcome
long distances and support communities spread over
large areas.
get well soone
Patient Details
Name
ID
Age
Gender
Address
Phone
Hans Peter, Hölzl
0213
.1960
41 Date of birth: 01.01
M
Reason f. rec
Current Therapy
Recom. Therapy
General
Beats
V beats
SV beats
Paced beats
BBB
Junction
AFib/AFL
AFib/AFL%
Artefacts%
Bigemini
Trigemini
VT
Most severe VT
NSVT
Salvo
IVR
Hans Peter, Hölzl
01.01.1960
Case number
Rec. start
Length
Recorder
Ref.Doc.
Contact
30.07.2001 12:53:08
18:16:02
AR12 (11/2.0)
111
Mono: 5 Poly: 9
0
96
1
3
0
--- (---) @ --1
0
2
Min. HR
Max. HR
Ø HR
Ø HR Day
Ø HR Night
Beats in Tachy
Beats in Brady
Longest Pause
36 @ 05:14:56
104 @ 03:26:54
70
73
68
0 (130 bpm) 0%
1628 (45 bpm) 3,4%
2,2 sec @ 04:18
Supraventricular Eve
Pause
Tachycardia
Most severe SVT
Bradycardia
Most severe Brady
PSVT
Irreg. Rhythm
SV Ectopic beats
• Holter recordings can be uploaded from anywhere
via the internet.
• No need for dedicated client software at the remote
location. All that is needed is a PC with internet connection and a web browser.
Heartrate and HRV
76196
262 (0,34%)
75934 (99,66%)
0 (0,00%)
0 (0,00%)
0 (0,00%)
1/1
3,8%/7,6%
0,00%
Ventricular Events
V ectopic beats
Couplets
Triplets
Isolated V
0213
Digital Hospital
Bergstraße 55
8020 Graz
Switzerland
digitalhospr ital
It is the perfect solution for Holter scanning service providers and hospitals with patients in remote locations.
It was never so easy to upload and manage Holter data
and reports. Fast turnaround will dramatically increase
cost-effectiveness of the scanning service and improve
patient care.
nts
27
0
--- (defined by length)
with --- @ --75
length)
575,2 sec (defined by
with 37 bpm @ 00:28
0
7
22
:02 hours.
Diagnosis
with a duration of 18:16
recording.
on 30.07.2001 12:53:08
bpm over the complete
recording was started
68 bpm at night and 70
An ambulatory Holter
36 bpm at 05:14:56.
73 bpm during the day,
was
was
rate
rate
heart
heart
um
ge
The avera
:54. The minim
03:26
at
bpm
104
was
The maximum heart rate
was 48,5 ms.
over all normal beats
The standard deviation
Heart Rate Trend
Review your ­recordings ­anywhere on the network
• Scalable solutions that meet all needs, from the physician’s
office to large hospital networks
• Multiple floating licenses to maximise data access for
minimum cost
• Data security and integrity is guaranteed: patient data can
only be accessed by one user at a time, with information
on who is reviewing which data.
• Data export to Schiller SEMA3 or in various formats for
compatibility to third-party systems
• Patient data and waveforms can be displayed at
the remote site for quality check.
• Final reports are available for review via internet as
soon as they are completed.
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inhouse-Druck
Asia
SCHILLER Asia-Pacific / Malaysia
52200 Kuala Lumpur, Malaysia
Phone +603 6272 3033
Fax +603 6272 2030
[email protected]
www.schiller-asia.com
Latin America
SCHILLER Latin America, Inc.
Doral, Florida 33172
Phone +1 954 673 0358
Fax +1 786 845 06 02
[email protected]
www.schillerla.ch
Austria
SCHILLER Handelsgesellschaft m.b.H.
A-4040 Linz
Phone +43 732 709 90
Fax +43 732 757 000
[email protected]
www.schiller.at
Poland
SCHILLER Poland Sp. z o.o.
PL-02-729 Warszawa
Phone +48 22 8432089
Fax +48 22 8432089
[email protected]
www.schiller.pl
China
Alfred Schiller Medical Equipment Co. Ltd.
100015 Beijing, China
Phone +86-10-84565453
[email protected]
www.schillermedical.cn
Russia & C.I.S.
SCHILLER AG Rep. office
125124 Moscow, Russia
Phone +7 (495) 970 11 33
Fax +7 (495) 970 11 33
[email protected]
www.schiller-cis.com
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France
SCHILLER Médical S.A.S.
F-67162 Wissembourg/Cedex
Phone +33 3 88 63 36 00
Fax +33 3 88 94 12 82
[email protected]
www.schiller-medical.com
France (distribution France)
SCHILLER France S.A.S.
F-77600 Bussy St Georges
Phone +33 1 64 66 50 00
Fax +33 1 64 66 50 10
[email protected]
www.schiller-france.com
Germany
SCHILLER Medizintechnik GmbH
D-85622 Feldkirchen b. München
Phone +49 89 62 99 81-0
Fax +49 89 62 99 81-54
[email protected]
www.schillermed.de
Hungary
SCHILLER Diamed Ltd.
H-1141 Budapest
Phone +36 (1) 383-4780 / 460-9491
Fax +36 (1) 383-4778
[email protected]
www.schiller-hungary.hu
India
SCHILLER Healthcare India Pvt. Ltd.
Mumbai - 400 001, India
Phone +91 22 6152 3333/ 2920 9141
Fax +91 22 2920 9142
[email protected]
www.schillerindia.com
Slovenia
SCHILLER d.o.o.
2310 Slovenska Bistrica
Phone +386 2 843 00 56
Fax +386 2 843 00 57
[email protected]
www.schiller.si
Spain
SCHILLER ESPAÑA, S.A.
E-28230-Las Rozas/Madrid
Phone +34 91 713 01 76
Fax +34 91 355 79 33
[email protected]
www.schiller.es
Switzerland
SCHILLER-Reomed AG
CH-8953 Dietikon
Phone +41 44 744 30 00
Fax +41 44 740 37 10
[email protected]
www.schiller-reomed.ch
Turkey
SCHILLER TÜRKIYE
Okmeydani-Sisli – Istanbul
Phone +90 212 210 8681 (pbx)
Fax +90 212 210 8684
[email protected]
www.schiller-turkiye.com
USA
SCHILLER America Inc.
Doral, Florida 33172
Phone +1 786 845 0620
Fax +1 786 845 06 02
[email protected]
www.schilleramerica.com
Part no.: 2.500548
*2.500548*
11/13, EN
Croatia
Schiller medicinski instrumenti d.o.o.
10000 Zagreb
Phone +385 1 309 66 59
Fax +385 1 309 66 60
[email protected]
www.schiller.ch
Serbia
SCHILLER d.o.o.
11010 Beograd
Phone +381 11 39 79 508
Fax +381 11 39 79 518
[email protected]
www.schiller.rs
Headquarters: SCHILLER AG, Altgasse 68, CH-6341 Baar, Switzerland, Phone +41 41 766 42 42, Fax +41 41 761 08 80, [email protected], www.schiller.ch